Provider Demographics
NPI:1982653341
Name:DESHPANDE, NAVIN D (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVIN
Middle Name:D
Last Name:DESHPANDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7215 US HIGHWAY 27 N
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-1051
Mailing Address - Country:US
Mailing Address - Phone:863-452-1818
Mailing Address - Fax:863-452-6544
Practice Address - Street 1:7215 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1051
Practice Address - Country:US
Practice Address - Phone:863-452-1818
Practice Address - Fax:863-452-6544
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2022-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73061208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL38086OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL251854600Medicaid
FL251854600Medicaid